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Article

The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

1
Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
2
Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
3
Graduate Institute of Life Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
4
Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung 80284, Taiwan
5
Institute of Medical Science and Technology, National Sun Yat-Sen University, Kaohsiung 80284, Taiwan
6
School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(17), 6350; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17176350
Received: 16 July 2020 / Revised: 16 August 2020 / Accepted: 26 August 2020 / Published: 31 August 2020
(This article belongs to the Special Issue Nursing and Palliative Care)
This study aimed to elucidate the predictors and the effects of path modeling on the knowledge, attitude, and practice toward do-not-resuscitate (DNR) among the Taiwanese nursing staff. This study was a cross-sectional, descriptive design using stratified cluster sampling. We collected data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. The results showed that participation in DNR signature and education related to palliative care were significant positive predictors of knowledge toward DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the critical predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practice constituting DNR. Based on the findings of this study, we propose that nurses should improve their self-efficacy and dispositional resilience through training programs. Encouraging staff to undertake further education and have religious beliefs can enhance the practice of DNR and provide better end-of-life care. View Full-Text
Keywords: do-not-resuscitate; knowledge; attitude; practice; path modeling do-not-resuscitate; knowledge; attitude; practice; path modeling
MDPI and ACS Style

Wu, L.-F.; Chang, L.-F.; Hung, Y.-C.; Lin, C.; Tzou, S.-J.; Chou, L.-J.; Pan, H.-H. The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling. Int. J. Environ. Res. Public Health 2020, 17, 6350. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17176350

AMA Style

Wu L-F, Chang L-F, Hung Y-C, Lin C, Tzou S-J, Chou L-J, Pan H-H. The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling. International Journal of Environmental Research and Public Health. 2020; 17(17):6350. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17176350

Chicago/Turabian Style

Wu, Li-Fen, Li-Fang Chang, Yu-Chun Hung, Chin Lin, Shiow-Jyu Tzou, Lin-Ju Chou, and Hsueh-Hsing Pan. 2020. "The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling" International Journal of Environmental Research and Public Health 17, no. 17: 6350. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17176350

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